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CVffCi� <br />e <br />City of Everett <br />CHART NO. <br />� ''' ; ' <br />�,��,%� �- �' a'u'' / <br />Sev�er Application and Permit <br />N0. ZV496 DATE ���r 28 1987 <br />$ervice •\ddress Utility Account <br />Billing Address_�p <br />City, State, Zip O°�°' <br />Owner (Mortgagor) <br />Billing Name �— <br />Connection By <br />Address <br />Pfione <br />DESCRIPTION: <br />Permit Fee <br />Connection Chargels) <br />% /s- ci� <br />Total Fee <br />3p�cial IItilltr � Ord. 1171-NS <br />y� 8.25 <br />s�wr 21.75 <br />�0.00 <br />f i <br />Signed c�:�o�� <br />Sewer District »�^"~�"'� — <br />Lot �'6 Block �9 Monthly Sewer Service. <br />Plat �••••�ct Led �++ r� t.* ida <br />Unpletted Description Monthly Sewa� Constr. <br />Type Permit: <br />Remarks: <br />L�v <br />IMPORTANT! <br />CALL 1�00-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />1:./�/ii7 11:�n5AM OUO�N8592 :� <br />Abutting Lot Line / <br />N S E Wu�..,...u, h. <br />S[Nf.f: 43p.1N1 <br />1171-5 930.00 <br />YOikk35G91 <br />1lRiBi lb50.U0 <br />Approved By ��n ��� "'��*" <br />Gry Enpinett <br />Issued By S�v "' .^'^ <br />Inspection By �� <br />Date Inspected 'f x �� <br />li\�i GC'ilJf`J <br />N0. 2�496 <br />